Abstract

This study was designed to evaluate the effect of using bone graft alone versus bone graft mixed with ozone gel with immediate dental implant placement. Subjects and methods: eighteen patients selected from those attending the outpatient clinic of Oral and Maxillofacial Department, Faculty of Dental Medicine, Al-Azhar University, Assiut branch had isolated hopeless tooth in need for extraction and indicated for immediate dental implant placement. Patients were classified randomly into the following two groups: Group I: Patients were treated by immediate implant combined with Nano tricalcium phosphate alone. Group II: Patients were treated by immediate implant combined with Nano tricalcium with topically applied ozone gel. Stability, bone density and marginal bone level were assessed. Results: Implant stability group (II) (study group) showing increase in ISQ with statistically significant differences when compared to group(I) (control group). Marginal bone loss: the group (II) (study group) showing decrease in marginal bone loss with statistically significant difference when compared with group(I) (control group) at 9 months. Bone density: The present study showing non- statistically significant differences when compared to group(I) (control group) with group (II) (study group). Conclusion: The use of ozone gel at the time of implant placement can be considered an effective adjunctive that improves the implant stability and decreases marginal bone loss. The use of ozone gel combined with bone graft shows non- statistically significant bone density around dental implant.

Keywords:

Ozone, Immediate implant, Implant Stability, Marginal bone loss and Nano tricalcium phosphate.

• Received:  20 January 2024
• Accepted:  09 February 2024
• Published: 19 February 2024